Provider Demographics
NPI:1336605088
Name:DR. UPPASNA CHAND LLC
Entity Type:Organization
Organization Name:DR. UPPASNA CHAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:UPPASNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-448-9100
Mailing Address - Street 1:9610 SYMPHONY MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-4420
Mailing Address - Country:US
Mailing Address - Phone:804-873-3086
Mailing Address - Fax:
Practice Address - Street 1:1355 BEVERLY RD STE 250
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3649
Practice Address - Country:US
Practice Address - Phone:703-448-9100
Practice Address - Fax:703-448-0604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental